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. 2011;6(1):21-24.
doi: 10.1159/000324923. Epub 2011 Feb 22.

Fungating Wounds - Multidimensional Challenge in Palliative Care

Thomas Merz  1 , Carsten Klein, Barbara Uebach, Martina Kern, Christoph Ostgathe, Johannes Bükki
Affiliations

Fungating Wounds - Multidimensional Challenge in Palliative Care

Thomas Merz et al. Breast Care (Basel). 2011.

Abstract
in English, German

SUMMARY: The management of fungating, malignant wounds is a challenge for the palliative care team. Open, malodorous, poorly healing lesions are obvious signs of underlying disease. In addition, pain and functional impairment remind the patients of their incurable illness. A multidimensional approach is necessary to meet the needs of these patients and to improve quality of life. Although achieving wound closure is rarely a realistic goal, modern techniques of wound management can help to minimize odours and exudates. Specialist knowledge in palliative care is needed to provide adequate pain control. Psychosocial support may help patients to cope with the situation and their limited abilities.

Zusammenfassung: Maligne, exulzerierende Wunden sind ein sichtbares Zeichen fortgeschrittener Erkrankung und führen nicht nur zu körperlichen Symptomen sondern können auch soziales, psychisches und existentielles Leiden verursachen. Diesem Leiden auf unterschiedlichen Ebenen zu begegnen, erfordert eine multidimensionale Herangehensweise. Auch wenn ein Wundverschluss selten erreicht werden kann, so sind Maßnahmen der modernen Wundversorgung doch in der Lage, Gerüche zu binden und Sekretion zu reduzieren. Zu einer guten Wundversorgung gehört auch die kompetente Behandlung von Schmerzen. Unterstützung im psychosozialen und spirituellen Bereich kann Patienten und Angehörigen helfen, sich mit den Veränderungen auseinanderzusetzen.

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Figures

Fig. 1
Fig. 1
Ulcerating tumour showing local bleeding and necrosis.
See this image and copyright information in PMC

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